Organization
MALLADI R. SASTRY, MD, PA
Active
Organization
MALLADI R. SASTRY, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALLADI R SASTRY M.D. (OWNER/PHYSICIAN)
(972) 596-2135
Entity
Organization
Contact information
Practice address
4100 W 15TH ST, SUITE 216, PLANO, TX 75093-5803
(972) 596-2135
(972) 596-7382
Mailing address
4100 W 15TH ST, SUITE 216, PLANO, TX 75093-5803
(972) 596-2135
(972) 596-7382
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
E4934
TX
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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